Provider Demographics
NPI:1689413650
Name:WOUND SAVERS OF CALIFORNIA INC
Entity type:Organization
Organization Name:WOUND SAVERS OF CALIFORNIA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SIEGHART
Authorized Official - Middle Name:
Authorized Official - Last Name:PORNHOLD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-932-8931
Mailing Address - Street 1:1100 E ORANGETHORPE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-1144
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1100 E ORANGETHORPE AVE STE 200
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-1144
Practice Address - Country:US
Practice Address - Phone:714-932-8931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty